The National AT Reuse Scene….Accomplishments and National Data Pass It On Center Georgia...

The National AT Reuse The National AT Reuse Scene….AccomplishmenScene….Accomplishmen

ts and National Datats and National Data

Pass It On Center

Georgia Department of Labor – Tools for Life

www.passitoncenter.org

Shaping A National Collaborative for AT Reuse First National Conference on AT

Reuse May 7-8, 2006

The “beginnings” of a National Collaborative - Noun – To work together, especially in a joint effort.

Common Questions of of AT Reuse Programs

• Liability • Costs and Funding – Sustainability• Storage• Transportation• Equipment Donations and Volume• Staffing, Credentials, Training• Effective practice• Relationships with vendors and suppliers

Pass It On Center’s Pass It On Center’s Response to Questions and Response to Questions and

ChallengesChallengesBroadly speaking…..Broadly speaking…..

Address issues of national significance in Address issues of national significance in AT device reutilization,AT device reutilization,

Provide technical assistance & training to Provide technical assistance & training to entities engaged in or planning to entities engaged in or planning to engage in AT device reutilization, andengage in AT device reutilization, and

Coordinate and network entities involved Coordinate and network entities involved in AT device reutilization.in AT device reutilization.

Increase access to and acquisition of assistive Increase access to and acquisition of assistive technology – Get AT to those who need ittechnology – Get AT to those who need it

Clean, safe, appropriate AT matched to the needs of Clean, safe, appropriate AT matched to the needs of

customerscustomers

An understanding of what success is for AT Reuse An understanding of what success is for AT Reuse ProgramsPrograms

Quality Indicators for AT Reuse Programs – IQ-ATQuality Indicators for AT Reuse Programs – IQ-AT

Consensus and methodology for measuring outcomes of Consensus and methodology for measuring outcomes of AT Reuse and Return on Investment (ROI).AT Reuse and Return on Investment (ROI).

Begin with the End in Mind…

National Task Force Study National Task Force Study Groups: Groups: Goals, Progress, and Goals, Progress, and DirectionDirection

Challenges in AT Reuse 2006

We didn’t know what we didn’t know. Jeremy Buzzell, 2006

• Cessi found 3 reports on 2006 AT Reuse programs.

• In 2009 there are now historical (1), economic (2); some comprehensive “how to” policy manuals; and, several evidenced-based outcome studies (3) of AT reuse.


We didn’t know the scope of device reuse.

• How many device reuse programs are there?- No national database of programs existed.

• How many devices are reutilized nationally?- There was no data on what kinds of devices are reutilized.

• How many individuals receive reutilized devices

nationally?

• There was no data on what kinds of persons with disabilities benefit from AT reuse.

On-Line Database Listing of On-Line Database Listing of AT Reuse in 2009AT Reuse in 2009

As of September 9, 2009, the number of states As of September 9, 2009, the number of states and programs listed has increased to 174 and programs listed has increased to 174 (from 162 a year ago). Of these: (from 162 a year ago). Of these: – 116 conduct reassignment activities116 conduct reassignment activities– 87 conduct refurbishment activities87 conduct refurbishment activities– 44 conduct equipment exchange activities44 conduct equipment exchange activities– 60 conduct reassignment & refurbishment 60 conduct reassignment & refurbishment – 18 conduct reassignment & exchange activities18 conduct reassignment & exchange activities– 15 conduct refurbishment and exchange activities15 conduct refurbishment and exchange activities– 12 conduct reassignment, refurbishment & exchange12 conduct reassignment, refurbishment & exchange

7 states and 5 territories have no AT reuse 7 states and 5 territories have no AT reuse listing on the database of AT reuse programs. listing on the database of AT reuse programs.

Challenges in AT Reuse2006

We didn’t know the legal issues of AT reuse

• What are the liability issues? - Who is liable for a reused device? - How can a reuse program protect itself

and its customers?• What are the regulatory issues? - What federal agencies have oversight

of these practices? - How can a reuse program be sure it is

“complying” with applicable regulations?


We didn’t know the legal issues of AT reuse

• The Pass It On Center has researched and disseminated information about legal and policy-related issues that include a report, The Applicability of the Food, Drug and Cosmetic Act on Reutilization of AT

Challenges in AT Reuse 2006Challenges in AT Reuse 2006

We didn’t know the legal issues of AT reuse.

Quality Indicators and standards designed to help programs improve quality

Added entire section on sanitization and liability to the IQ-ATR following guidance of NTF member, Dr. Sara Sack.

Many programs have received specific TA on liability and policy matters from Jessica Brodey and have policy and operational guidelines now.


We didn’t know the “value” of device reuse.

• Is there a benefit to consumers associated with reuse?

- What should be considered the benefit: receipt of AT, cost savings, clinical outcomes?

- How to measure a benefit to consumer? - Do some consumers benefit more than

others?

• Is there cost savings associated with reuse?- If so, to whom and how to measure it?


We didn’t know the “value” of device reuse.

• Data collected from AT Act grantees shows substantial cost savings data.

• Individual programs collect additional data such as Return on Investment, and environmental impact data.

• The Pass It On Center will continue to work with stakeholders to identify the outcomes and benefits of device reuse.


We didn’t know what makes a “good” reuse program.

• Is it volume? People served? Efficiency?• Pros and cons of different models.• What are the “best practices” in device

reuse?• - What practices lead to good

outcomes?• - What practices lead to cost

savings?• - What practices lead to

sustainability?

Challenges in AT Reuse 2006We didn’t know what makes a “good” reuse

program.

• The 2006 national conference identified programs needing best practices in:

• Storage• Transportation/

Distribution• Labor• Tracking and

Managing Inventory• Data collection• Marketing and public

awareness• Sustainability and

funding• Appropriate disposal

of devices

• Finding and retaining qualified staff

• Training staff and volunteers

• Determining the acceptability of devices (age, condition, type)

• Matching person to device

• Provide training and follow-up to consumers

• Standards for cleaning and repairing

Challenges in AT Reuse 2006Challenges in AT Reuse 2006

We didn’t know what makes a “good” reuse program.

Knowledge Base Is Built! Work in Process!Knowledge Base Is Built! Work in Process!

– A priority requested by NTF in July 2008!A priority requested by NTF in July 2008!– Excellent information from various AT reuse programs – a Excellent information from various AT reuse programs – a

work in process!work in process!– Over 303 entries of information with 100 – 150 links to Over 303 entries of information with 100 – 150 links to

referencesreferences– Vetting process through extensive usability testing processVetting process through extensive usability testing process– Actively working on downloadable step-by-step posters for Actively working on downloadable step-by-step posters for

sanitization sanitization – Actively working on sanitization room set upActively working on sanitization room set up– Actively working on videos demonstrating sanitization Actively working on videos demonstrating sanitization

process and other AT reuse tasksprocess and other AT reuse tasks


We didn’t know the affects of reuse in “the long run.”

• What is the useful life of AT (both technologically and clinically)?

• What is the net effect on the AT/DME

industry? - Positive, negative, or neutral?

• Is there an environmental impact?

Website Knowledge Base!Website Knowledge Base!

We will take a “walk through” of the We will take a “walk through” of the Pass It On Center website and Pass It On Center website and

Knowledge Base During the Next Knowledge Base During the Next Session!Session!

www.passitoncenter.org/content

Website Knowledge BaseWebsite Knowledge Base

The Grantees have been especially The Grantees have been especially generous in sharing materials they have generous in sharing materials they have developed. developed.

Materials that comprise the “content” of Materials that comprise the “content” of the KnowledgeBase have been the KnowledgeBase have been determined by the Center to represent determined by the Center to represent outstanding examples of those policies, outstanding examples of those policies, procedures, and practices associated procedures, and practices associated with quality AT reuse programs. with quality AT reuse programs.

Website Knowledge Website Knowledge BaseBase

In several cases, the Center staff In several cases, the Center staff documented methods for specific documented methods for specific activities including warehouse layout, activities including warehouse layout, equipment flow, repair stations, and equipment flow, repair stations, and sanitization methods. sanitization methods.

The Center now disseminates, through The Center now disseminates, through its website, many of the excellent its website, many of the excellent materials developed by these programs materials developed by these programs and offered for use to the Center.and offered for use to the Center.

Developing Indicators of Quality for AT Reuse

Programs

Pass It On Centerwww.passitoncenter.org

Vision and Goals for IQ-ATR

23

Knowledge Base supportsIQ-ATR Self-Assessment Tool

IQ-ATR andKnowledge Base inform Successful Practices

Successful Practices inform Knowledge Base

IQIQ--ATRATR

Highlights of Three Years

Three Amazing Years!

-Technical Assistance Contacts- 22 Webinars- 11 State Summits for Stakeholders- NISAT Reuse Data Reported- Diversified Funding for AT Reuse Programs- Replication of Successful Practices and Policies…………. A national collaborative network

Highlights of 3 YearsHighlights of 3 Years

Webinars have been a useful tool for sharing Webinars have been a useful tool for sharing information about the issues and solutions in the area of information about the issues and solutions in the area of reuse. The Pass It On Center has facilitated 22 webinars reuse. The Pass It On Center has facilitated 22 webinars over 3 years on a range of topics that have included:over 3 years on a range of topics that have included:

– Data Collection and Data Tracking for Reuse Data Collection and Data Tracking for Reuse

ProjectsProjects– Applicability of the Food, Drug, and Cosmetic Act to Applicability of the Food, Drug, and Cosmetic Act to

Reuse of ATReuse of AT– Organization and Governance of AT Reuse programs Organization and Governance of AT Reuse programs – A Closer Look at AT Exchange Programs A Closer Look at AT Exchange Programs – Storage Solutions and Inventory ControlStorage Solutions and Inventory Control– Transportation Solutions Transportation Solutions – Emergency Preparation and ResponseEmergency Preparation and Response– SustainabilitySustainability– Marketing SolutionsMarketing Solutions– A Walk through the Knowledge Base A Walk through the Knowledge Base – From 15 to over 60 participants From 15 to over 60 participants


Pass It On Center staff, consultants, Pass It On Center staff, consultants, and members of the National Task and members of the National Task Force, promulgated use of AT Force, promulgated use of AT Reuse definitions established by Reuse definitions established by NTF in 2007 at: NTF in 2007 at: – conferences (e.g., ATIA, NATTAP conferences (e.g., ATIA, NATTAP

Annual Grantees Meeting, MedTrade), Annual Grantees Meeting, MedTrade), – during Pass It On Center webinars, and during Pass It On Center webinars, and – on the Pass It On Center website & on the Pass It On Center website &

brochurebrochure


Webinars are opened to the national Webinars are opened to the national network of state AT programs and, network of state AT programs and, increasingly, the Center is receiving increasingly, the Center is receiving requests from other groups to participate. requests from other groups to participate.

Webinar audiences are extremely diverse Webinar audiences are extremely diverse – ranging from program implementers, to – ranging from program implementers, to administrators, to subcontractorsadministrators, to subcontractors

We Need Your Input on Proposed We Need Your Input on Proposed Webinars For Year 4!Webinars For Year 4!

Years 1 & 2 Stakeholder Years 1 & 2 Stakeholder MeetingsMeetings

Stakeholder meetings in several Stakeholder meetings in several states: Delaware, Florida, Minnesota, states: Delaware, Florida, Minnesota, South Carolina, Idaho and MontanaSouth Carolina, Idaho and Montana


Center site visits were designed:Center site visits were designed:– to assist various programs and to assist various programs and

included discussions on policies, included discussions on policies, sustainability, marketing, evaluation, sustainability, marketing, evaluation, matching equipment, and program matching equipment, and program operating procedures. operating procedures.


Stakeholder meetings:Stakeholder meetings:– These meetings were well attended These meetings were well attended

by a diverse group of people by a diverse group of people providing AT services in public providing AT services in public agencies, non-profits, and private agencies, non-profits, and private companies. companies.

– These well-designed meetings also These well-designed meetings also explored a wide range of reuse issues explored a wide range of reuse issues and solutions specific to their states.and solutions specific to their states.

Year 3 Stakeholder Meetings

Paraquad – to Plan August 2008 Grantee Meeting

Tennessee Statewide Summit South Carolina – Meetings and Expo Virginia Summit of Stakeholders STAR Network Summit Invited to Puerto Rico AT Program–

Postponed!

Tennessee AT Reuse Summit - 2008

Round Table Planning at Tennessee AT Reuse

Summit


Training & Technical Assistance Activities– Annual Conference of AT Reuse Grantees at Paraquad in Missouri –August, 2008

Thank you, Carla Walker, Kerri Morgan and Lindsey Bean!

– Excellent presentations by many model demonstration grantees on many different topics and opportunities to share and bond.

– Paraquad Tour included Repair Shop & Tiled Sanitization Room

AT Reuse Grantee Meeting

August 2008Paraquad - Tiled Sanitization Steam

Room FODAC is Building One,Too

Paraquad in Missouri during TourParaquad in Missouri during Tour


August 2008


August 2008Paraquad – Sanitary Plastic

Packaging


August 2008Paraquad – Organization Plus+++

Highlights of 3 Years In Review

Collaborative Conference of NATTAP and PIOC in Atlanta

Summary of Conference presented at NATTAP Annual conference in Philadelphia

STAR Network Southeastern AT Reuse Conference

November 2008

Highlights of 3 Years Highlights of 3 Years

Training and TA ActivitiesTraining and TA Activities Paper on AT Reuse published in the Assistive Paper on AT Reuse published in the Assistive

Technology Outcomes & Benefits Journal (ATOB Technology Outcomes & Benefits Journal (ATOB Fall 2008)Fall 2008)

A Pass It on Center Strand at ATIA 2008 -2009, A Pass It on Center Strand at ATIA 2008 -2009, Chicago and Orlando 2010Chicago and Orlando 2010

ATIA Orlando 2010 Pre-conference on AT ReuseATIA Orlando 2010 Pre-conference on AT Reuse A Range of Topics – AT Reuse Webinars are now on A Range of Topics – AT Reuse Webinars are now on

Knowledge Base with Attribution to ATIA and Knowledge Base with Attribution to ATIA and PresentersPresenters

Planned! ATIA Special Publication on AT Reuse in Planned! ATIA Special Publication on AT Reuse in 20102010


Passitoncenter.orgPassitoncenter.org

Date Range: 03/01/2007 -5/30/2007Date Range: 03/01/2007 -5/30/2007 Total SessionsTotal Sessions 2,679.002,679.00 Total PageviewsTotal Pageviews 6,482.006,482.00 Total HitsTotal Hits 30,930.0030,930.00 Average Sessions Per DayAverage Sessions Per Day

29.4429.44 Average Pageviews Per DayAverage Pageviews Per Day 71.2371.23 Average Hits Per DayAverage Hits Per Day 339.89339.89

Highlights of 3 Years Highlights of 3 Years


Date Range: 03/01/2007 - 05/30/2008Date Range: 03/01/2007 - 05/30/2008

Total SessionsTotal Sessions 23,035.0023,035.00

Total PageviewsTotal Pageviews 65,844.0065,844.00

Total HitsTotal Hits 114,013.00114,013.00

Average Sessions Per DayAverage Sessions Per Day 253.13253.13

Average Pageviews Per DayAverage Pageviews Per Day 723.56723.56

Average Hits Per DayAverage Hits Per Day 1,252.891,252.89

Highlights of 3 Years In Highlights of 3 Years In ReviewReview


Date Range: 05/31/2008 - 09/07/2009Date Range: 05/31/2008 - 09/07/2009

Total SessionsTotal Sessions 103,701.00 103,701.00

Total PageviewsTotal Pageviews 489,289.00 489,289.00

Total HitsTotal Hits 853,779.00853,779.00

Average Sessions Per DayAverage Sessions Per Day 223,01 223,01

Average Pageviews Per DayAverage Pageviews Per Day 1,052.231,052.23

Average Hits Per DayAverage Hits Per Day 1,836.08 1,836.08

Average Length Per SessionAverage Length Per Session 15.3315.33

The Future – From Jeremy Buzzell – NTF

2008• What does OSERS need to do?• What does PIOC need to do?• What does NATTAP need to do?• What does NISAT need to do?• What do programs need to do for

themselves?• What does Congress need to do?• What does ATAP need to do ? ….To Sustain and Continuously Improve

the Quality of AT Reuse Programs?

Shaping A National Shaping A National Collaborative for AT Reuse Collaborative for AT Reuse

Emergency Preparedness & Disaster ResponseEmergency Preparedness & Disaster Response to focus to focus on recommendations concerning proper deployment of on recommendations concerning proper deployment of reutilized AT matched to specific needs of area reutilized AT matched to specific needs of area consumers.consumers.

Survey on Assistive Technology Reuse & Emergency Planning, Management and Response www.disability.govbility.gov

The The Pass It On Center is developing an emergency is developing an emergency

response system based on an existing network of response system based on an existing network of Assistive Technology (AT) Centers. At the foundation of Assistive Technology (AT) Centers. At the foundation of this project is a this project is a national survey designed to develop an designed to develop an understanding of the current involvement of a variety of understanding of the current involvement of a variety of programs in efforts related to assistive technology reuse programs in efforts related to assistive technology reuse and emergency planning, management and response. and emergency planning, management and response. Information obtained will be vital to developing effective Information obtained will be vital to developing effective emergency response systems for all populations.emergency response systems for all populations.

Shaping A National Shaping A National Collaborative for AT ReuseCollaborative for AT Reuse

Third Party Collaborators and AT ReuseThird Party Collaborators and AT Reuse

Third Party Entities such as Medicaid are Third Party Entities such as Medicaid are continuing to ask for technical assistance on continuing to ask for technical assistance on AT reuse from Center consultant Dr. Sara SackAT reuse from Center consultant Dr. Sara Sack

What about Other Potential Third Party What about Other Potential Third Party Collaborators such as Vocational Collaborators such as Vocational Rehabilitation, Worker’s Compensation, and Rehabilitation, Worker’s Compensation, and Private Insurance Companies?Private Insurance Companies?

Your Input and GuidanceYour Input and Guidance You are experts in your field and…You are experts in your field and…

Collectively, we are brilliant!Collectively, we are brilliant!

Solutions found through an interactive team Solutions found through an interactive team process will yield the most informed choices process will yield the most informed choices and resultsand results

Comments and Suggestions? Round Tables Comments and Suggestions? Round Tables on Tonight, 5:30 – 7:30 pm and Strategic on Tonight, 5:30 – 7:30 pm and Strategic Planning Sessions on Thursday! Planning Sessions on Thursday!

If we Nurture our Dreams,If we Nurture our Dreams,they will take they will take

Root in our SoulsRoot in our Souls& Bear Fruit in our Lives& Bear Fruit in our Lives

-Francis Phillips, Carolyn Phillips’ -Francis Phillips, Carolyn Phillips’

MotherMother

……for your Input, Time and for your Input, Time and Dedication!Dedication!

The National AT Reuse Scene….Accomplishments and National Data Pass It On Center Georgia...

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